DRESSING CHANGES

• Change dressing every 1-2 days or after a shower.

• Wash your hands. Remove old dressing and clean around the tube daily with a clean washcloth, using mild liquid soap and water. Rinse well. A single use washcloth should be used to clean the site. Pat dry.

• Apply new, clean dressing, being careful to position tube so that it does not kink.

WHAT TO WATCH FOR

Call our of� ce if any of the following occur:

Signs of infection around the tube:

• Fever > 101°, sweating and chills.

• Abnormal foul-smelling drainage or redness around the tube.

Signs that your tube may be blocked:

• Tube stops draining

• Back pain

• Leakage of urine around the tube and onto your skin and dressing

• Pain, fever or chills (kidney infection)

If the tube falls out, it must be replaced within 12-24 hours.

• Cover the hole in the skin with gauze pads and tape.

• Call Interventional Radiology to replace tube.

ACTIVITY

• No hot tubs or swimming.

• For the fi rst 14 days you may shower; however, before showering, cover dressing with a double layer of plastic wrap (e.g. Saran Wrap) and tape edges to skin. After shower, remove plastic wrap and change dressing.

• After the site has healed or in two weeks (whichever is later), you may shower without the dressing or plastic wrap using soap and water. Rinse well. Pat the area dry and apply a clean, dry dressing.

• You can sit in a bathtub if you prefer, however, the water level must be well below where the tube enters your skin (puncture site). At no time should the puncture site be under water as this may lead to the develop-ment of infection.

• Avoid any activity that causes a pulling sensation or pain around the tube, or kinking of the tube.

FOLLOW-UP CARE

• Tubes are usually changed every 6-8 weeks.

• If for some reason you did not receive an appointment card on discharge from the hospital, please call our offi ce at (734) 936-4536, Option 1 to schedule your tube change.

• It has been our pleasure to participate in your care. Please feel free to call our offi ce at anytime or page us with any questions, problems or concerns.

NEPHROSTOMY TUBE CARE - PATIENT DISCHARGE INSTRUCTIONS

If you cannot reach medical assistance, seek care at an emergency room. Take this form with you.

Monday - Friday 8 AM - 5 PM(734) 936-4536, Option 1

After hours and on weekends/ holidays: (734) 946-6267. Ask for the “Interventional Radiologist on call”.

Open

Closed

The valve should be in the open position to allow proper drainage from tube into drainage bag.

T H E M I C H I G A N D I F F E R E N C E ®

Family Medicine

Department of RadiologyInterventional Radiology

1500 East Medical Center Dr.B1 D530 Ann Arbor, MI 48109

(734) 936-4536, Option 1Monday - Friday 8 AM - 5 PM

After hours and on weekends/ holidays: (734) 946-6267 and ask for the “Interventional Radiologist on call”

www.med.umich.edu/rad

Executive Offi cers of the University of Michigan Health System: Ora Hirsch Pescovitz, M.D., Executive Vice President for Medical Affairs; James O. Woolliscroft, M.D., Dean, U-M Medical School; Douglas Strong, Chief Executive Offi cer, U-M Hospitals and Health Centers; Kathleen Potempa, Dean, School of Nursing.

The Regents of the University of Michigan: Julia Donovan Darlow, Laurence B. Deitch, Denise Ilitch, Olivia P. Maynard, Andrea Fischer Newman, Andrew C. Richner, S. Martin Taylor, Katherine E. White, Mary Sue Coleman (ex offi cio).

The University of Michigan, as an equal opportunity/affi rmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affi rmative action. The University of Michigan is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status in employment, educational programs and activities, and admissions. Inquiries or complaints may be addressed to the Senior Director for Institutional Equity, and Title IX/Section 504/ADA Coordinator, Offi ce of Institutional Equity, 2072 Administrative Services Building, Ann Arbor, Michigan 48109-1432, 734-763-0235, TTY 734-647-1388. For other University of Michigan information call 734-764-1817.

© 2010, The Regents of the University of Michigan.

06??? 11/2010-?K/A

It has been our pleasure to participate in your care.

Please feel free to call our office with any questions.

Monday - Friday 8 AM - 5 PM(734) 936-4536, Option 1

After hours and on weekends/ holidays: (734) 946-6267. Ask for the “Interventional Radiologist on call”

IF YOU CANNOT REACH MEDICAL ASSISTANCE, SEEK CARE AT AN EMERGENCY ROOM.

TAKE THIS FORM WITH YOU.

NEPHROSTOMYTUBE CARE

Patient Discharge Instructions

D E P A R T M E N T O F R A D I O L O G Y

DEPARTMENT OF RADIOLOGY